| NPI | 1619756681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP95026141) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95026141) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95173915) | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2026-07-01 |